# KENNETH J RITTER MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174791974
- **Authorized official:** KENNETH J RITTER MD (OWNER)
- **Authorized official phone:** (253) 272-3149

## Contact information

- **Practice address:** 1310 SOUTH UNION, A-201, TACOMA, WA 98405
- **Practice address phone:** (253) 272-3149
- **Practice address fax:** (253) 272-3348
- **Mailing address:** 1310 SO. UNION AVE, A-201, TACOMA, WA 98405
- **Mailing address phone:** (253) 272-3149
- **Mailing address fax:** (253) 272-3348

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 05834 | WA | Yes |

## Other

- **Enumeration date:** 02/14/2008
- **Last updated:** 11/12/2010
